Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

General Conference Corp of Sda

General Conference Corp of Sda was paid $756K by Medicaid between Oct 2019 and Aug 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

33Billing provider infoGENERAL CONFERENCE CORP OF SDA
TAMUNING, GU 96913
33aNPI1275586877assigned 05/18/2006
33bProvider typeClinic/Center
28Total paid$756K
24GClaims16,283
24DCodes billed56
24AFirst – last monthOct 2019 – Aug 2024
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2019114$6K
2020821$32K
20212,211$118K
20224,894$262K
20235,488$233K
2024incomplete2,755$104K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 43% 5,223 4,800 $328K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 22% 2,091 1,922 $169K
90461 9.0% 1,671 1,590 $68K
90460 Immunization administration through 18 years of age via any route, first or only component 6.9% 2,512 2,374 $52K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.2% 155 155 $16K
D1120 Dental cleaning, childProphylaxis - child 2.0% 264 256 $15K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1.7% 108 108 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.5% 251 241 $12K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.5% 488 478 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.5% 138 137 $11K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 1.3% 236 223 $10K
D0150 Comprehensive oral evaluation - new or established patient 1.0% 105 103 $8K
44 more codes
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 325 $6K
99383 <1% 44 $6K
86580 <1% 353 $4K
D0210 Intraoral - complete series of radiographic images <1% 51 $4K
99204 Doctor's office visit, new patient (more involved) <1% 20 $4K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 43 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 183 $2K
D0140 Limited oral evaluation - problem focused <1% 24 $2K
99201 <1% 28 $1K
90677 <1% 122 $1K
99401 <1% 29 $1K
D1203 <1% 53 $987.00
80061 Lipid panel <1% 77 $910.52
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 62 $910.25
D1110 Prophylaxis - adult <1% 13 $676.00
82728 <1% 49 $667.87
92250 <1% 13 $438.02
D0274 Bitewings - four radiographic images <1% 13 $432.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 51 $396.27
D0220 Intraoral - periapical first radiographic image <1% 24 $360.00
83036 Hemoglobin; glycosylated (A1C) <1% 37 $339.85
80048 Basic metabolic panel (calcium, ionized) <1% 40 $338.40
90670 <1% 238 $309.59
90715 <1% 25 $306.40
96127 <1% 55 $238.48
80053 Comprehensive metabolic panel <1% 25 $232.32
92552 <1% 33 $173.64
92015 Determination of refractive state <1% 18 $79.76
90688 <1% 29 $79.64
90697 <1% 13 $62.10
99490 Ccm add 20min <1% 12 $48.80
99173 <1% 32 $35.12
90633 <1% 70 $29.55
36415 Collection of venous blood by venipuncture <1% 30 $18.86
90707 0% 88 $0.00
90713 0% 154 $0.00
90700 0% 254 $0.00
90687 0% 19 $0.00
90648 0% 136 $0.00
91300 0% 12 $0.00
90716 0% 74 $0.00
90680 0% 12 $0.00
90686 0% 29 $0.00
90651 0% 29 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSHEPHERD POTTINGER, VICTOR (CEO)